Organization
AGASA CREATVE ARTS THERAPY LLC
Active
Other names
AGASA THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITA ONUMA MA, THM, MT-BC, LPC (MANAGING MEMBER)
(480) 510-3117
Entity
Organization
Contact information
Practice address
5338 KIAMESHA WAY, MESQUITE, TX 75150-1008
(480) 510-3117
Mailing address
5338 KIAMESHA WAY, MESQUITE, TX 75150-1008
(480) 510-3117
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/14/2022
Last updated
05/14/2022
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